| NPI | 1669072211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANITA STAFFORD Administrator/Director 505-358-2838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 101YM0800X Counselor Mental Health | |
| 101YP1600X Counselor Pastoral | |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2020-10-31 |
| Last Update Date | 2020-10-31 |